The URL can be used to link to this page

Home My WebLink About1707 EVERGREEN CIR; ; CB013056; Permit·---~-~-·-----~--~----- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-24-2001 Miscellaneous Permit Permit No:CB013056 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 1707 EVERGREEN CR CBAD MISC Subtype: 2050807 400 Lot #: $3,296.00 VALENZULA RESIDENCE 32 SQUARES OF COMP REROOF REROOF 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/24/2001 MDP 09/24/2001 09/24/2001 0739 09/24/01 0002 01 CGP CARLSBAD ROOFING VALENZUELA LORENZO JR&MARIA L 4144 TERRY ST OCEANSIDE CA 92054 760-729-1 077 Total Fees: $90.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: 1707 EVERGREEN CIR CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT Balance Due: $90.00 $0.00 $0.00 $90.00 $90.00 FINAL APPROVAL Date: /0 4 /a; Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permtt was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslu been' iven a NOTICE similar to this or as to which the statute of limitations has areviouslv otherwise exoired. 02 90.00 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO._()~_:=;.__::__ EST. VAL. _...,_'2.:::..J:..e.J.___--"l...c....- Plan Ck. Deposit ---"------- Validated By __________ _ Date, ______________ _ 1. PROJECT INFORMAT~ /707 . tXJ~_reet<-- Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description ~lljork J SQ, FT. #of Stories II of Bedrooms # of Bathrooms 2. CONT~iRSON~~~ eppllcent~ c__a'-'f Name Address 3, APPLICANT 0 Contractor 0 Agent for Contractor O Owner Name Address 4. PROPERTY OWNER I /. J · : J r/Aten2~>4 Name Address 5. CONTRACTOR· COMPANY NAME City 0 Agent for Owner City City State/Zip State/Zip State/Zip Telephone# Fax# Telephone# Telephone II (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, elso requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged ptio ion oJ-,Section 7031.5 by any applicant for a permit subjects the applic t to a civil penalty of not more than five hundred dollars ($5001). oor, I ~ r ~,L (; ~ . Or 9-7 A City State/Zip Telephone # State License # ss a~ 00 License Class C 3 s City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance bf the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compen ation insuranc,. carrier and policy number are: Insurance Company { Policy No. ;;;es-... o I Expiration Date/-/---C) .J,, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaatlon coverage la unlewful, and shel subject an empJoyer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addltlon to the coat of compensation, damages ea provided for in Section 3706 of the Labor code, interest and enomey's fua. SIGNATURE DATE--------- 7. OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 l, as owner of the property or my employees with wages as their sole compensation, wi11 do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale}, 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractorts) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name f address f phone number I contractors license number).,_------------------------------------------------ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name I address I phone number I type ofworkl: ___________________________________________________________ _ PROPERTY OWNER SIGNATUR~ ----------------------- COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY DATE _________ _ ls the applicant or future building occupant required to submit a business plan, acutely hazardous m1terials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, 8. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0'" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced wit 1 a s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com n e for a O days (Section 106.4.4 Uniform Building Code). DATE 9-?I-Joo/ I WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /J() 7 F'Ue{Jrf ~ vi C!t r 2. TYPE OF BUILDING: RESIDENTIAL ,\:'.' COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE L/ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) W2 3 5. TYPE OF EXISTING ROOF COVERINGJ,44h SHEATHING "Jf,JI? *6. NEW ROOF MATERIAL{D1? CLASS WEIGHT PER StilJARE 7. -NUMBER OF SQUARES_3~d.~-~ 8. TRADE NAME Tt1vi,~r'/1A.Z MANUFACTURER. _____ _, 9. ROOF SYSTEM LISTING UL No. ICBO No. ----~ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: ;:, 1. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Date 9,-; f -,:}oCJ I Contractor+-Owner Contractor Narr~;$J,f: )-&rv5~v'\ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 10/01/2001 Permit# CB013056 Title: VALENZULA RESIDENCE Description: 32 SQUARES OF COMP REROOF Type:MISC Sub Type: Job Address: 1707 EVERGREEN CR Suite: Lot O Location: APPLICANT CARLSBAD ROOFING Owner: VALENZUELA LORENZO JR&MARIA L Remarks: Total Time: CD Description 19 Final Structural Associated PCRs Inspection History Date Description 09/27/2001 15 Roof/Reroof Act lnsp Comments AP JC Inspector Assignment: JC --- Phone: 7607291077 .-:-;T' Inspector: 1 ) -""-"""""-= Requested By: MARK E_~tered By: ROBIN